NATHAN M LEBAK (NPI# 1285841155) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1285841155 |
Entity Type | Individual |
Full Name | NATHAN M LEBAK |
Credential | MD |
Practice Address |
252 Mchenry St Ste 8 Burlington WI 53105-1828 |
Mailing Address |
3301 W Forest Home Ave Milwaukee WI 53215-2843 |
Practice Telephone | 2627676000 |
Mailing Telephone | 4143892233 |
Enumeration Date | 2007-05-17 |
Last Update Date | 2020-05-29 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207RA0201X |
Internal Medicine Specialization: Allergy & Immunology |
51921 | WI | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
WI | 35323300 | 05 |
Street Address |
252 MCHENRY ST STE 8 |
City | BURLINGTON |
State | WI |
Zip Code | 53105-1828 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1720574288 | Wisconsin Pain Management Specialists, LLC | Pain Medicine | 1050 S. Milwaukee Avenue, Suite 102, Burlington, WI 53105 | 2018-07-09 |
1952845679 | Jennifer Vozel | Registered Nurse | 40036 Bloomfield Rd, Burlington, WI 53105 | 2016-12-14 |
1356884613 | Labadie Family Dentistry, S.c. | Clinic/Center | 5019 Mormon Rd., Burlington, WI 53105 | 2016-11-18 |
1043654288 | Maureen Ann Mcnulty | Acupuncturist | 148 East State Street, Suite A, Burlington, WI 53105 | 2013-04-18 |
1003166349 | Jessica Robinson | Licensed Practical Nurse | 7656 Highland Ave, Burlington, WI 53105 | 2012-09-13 |
1063677334 | Douglas Armin Wild Sr. | Dentist | 2545 Partridge Wds. Ct., Burlington, WI 53105 | 2008-07-25 |
1346408945 | William Henry Basil | Dentist | 222 Adams St, Burlington, WI 53105 | 2008-05-30 |
1912108689 | Debra Jean Studey Leffelman | Midwife, Lay | 5617 Spring Valley Rd., Burlington, WI 53105 | 2007-05-30 |
1215142955 | Michelle Marie Mehring | Licensed Practical Nurse | 541 Kearney Rd, Burlington, WI 53105 | 2007-05-14 |
1003982802 | Alan Dean Meike | Chiropractor | 196 W Chestnut Street, Burlington, WI 53105 | 2006-11-27 |
Find all providers in zip 53105 |
Taxonomy Code | 207RA0201X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Internal Medicine |
Specialization | Allergy & Immunology |
An internist doctor of osteopathy that specializes in the treatment of allergy and immunologic disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine can obtain a Certificate of Special Qualifications in the field of Allergy & Immunology. |
Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1306140439 | Jared I Darveaux | Internal Medicine | 311 Gundersen Dr, Onalaska, WI 54650 | 2011-01-04 |
1861468712 | Robert J Kriz | Internal Medicine | 9013 Bentley Grn, Verona, WI 53593-7858 | 2006-02-28 |
1053739714 | David L Peloza | Internal Medicine | 1821 S Stoughton Rd, Madison, WI 53716-2257 | 2014-03-31 |
1154616795 | Ashvini Varadhi Biswas | Internal Medicine | 10400 75th St, Kenosha, WI 53142-7884 | 2011-06-11 |
1770885220 | Serenity Health Care Center Sc | Internal Medicine | 2607 N Grandview Blvd, Waukesha, WI 53188-1686 | 2010-12-03 |
1285800367 | Wayne Harry Konetzki | Internal Medicine | 403 N Grand Ave, Waukesha, WI 53186-4913 | 2008-05-07 |
1447309786 | Mark H Hermanoff | Internal Medicine | 1055 N Mayfair Rd, Wauwatosa, WI 53226-3436 | 2007-01-09 |
1407963457 | Shelley K Watters | Internal Medicine | 1055 N Mayfair Rd, Wauwatosa, WI 53226-3436 | 2006-08-24 |
1073543096 | Anita I Gheller-rigoni | Internal Medicine | 855 N Westhaven Dr, Oshkosh, WI 54904-7668 | 2006-07-04 |
1326084534 | Ravi Viswanathan | Internal Medicine | 451 Junction Rd, Madison, WI 53717-2656 | 2006-06-22 |
Find all providers with the same taxonomy |
City | BURLINGTON |
Zip Code | 53105 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.